scholarly journals Intraoperative Myelography in Cervical Multilevel Stenosis Using 3D Rotational Fluoroscopy: Assessment of Feasibility and Image Quality

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Thomas Westermaier ◽  
Stefan Koehler ◽  
Thomas Linsenmann ◽  
Michael Kiderlen ◽  
Paul Pakos ◽  
...  
Keyword(s):  
Image Quality ◽  
Water Soluble ◽  
Operating Table ◽  
Metal Artifacts ◽  
Residual Stenosis ◽  
Cervical Myelography ◽  
Metal Implants ◽  
3D Fluoroscopy ◽  
Anterior Corpectomy

Background. Intraoperative myelography has been reported for decompression control in multilevel lumbar disease. Cervical myelography is technically more challenging. Modern 3D fluoroscopy may provide a new opportunity supplying multiplanar images. This study was performed to determine the feasibility and image quality of intraoperative cervical myelography using a 3D fluoroscope.Methods. The series included 9 patients with multilevel cervical stenosis. After decompression, 10 mL of water-soluble contrast agent was administered via a lumbar drainage and the operating table was tilted. Thereafter, a 3D fluoroscopy scan (O-Arm) was performed and visually evaluated.Findings. The quality of multiplanar images was sufficient to supply information about the presence of residual stenosis. After instrumentation, metal artifacts lowered image quality. In 3 cases, decompression was continued because myelography depicted residual stenosis. In one case, anterior corpectomy was not completed because myelography showed sufficient decompression after 2-level discectomy.Interpretation. Intraoperative myelography using 3D rotational fluoroscopy is useful for the control of surgical decompression in multilevel spinal stenosis providing images comparable to postmyelographic CT. The long duration of contrast delivery into the cervical spine may be solved by preoperative contrast administration. The method is susceptible to metal artifacts and, therefore, should be applied before metal implants are placed.

scholarly journals Metal artifacts in intraoperative O-arm CBCT scans

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juha I. Peltonen ◽  
Touko Kaasalainen ◽  
Mika Kortesniemi
Keyword(s):  
Image Quality ◽  
Imaging Modality ◽  
Nonlinear Effects ◽  
Exposure Level ◽  
Metal Artifacts ◽  
Imaging Protocol ◽  
Metal Implants ◽  
Comprehensive Determination

Abstract Background Cone-beam computed tomography (CBCT) has become an increasingly important medical imaging modality in orthopedic operating rooms. Metal implants and related image artifacts create challenges for image quality optimization in CBCT. The purpose of this study was to develop a robust and quantitative method for the comprehensive determination of metal artifacts in novel CBCT applications. Methods The image quality of an O-arm CBCT device was assessed with an anthropomorphic pelvis phantom in the presence of metal implants. Three different kilovoltage and two different exposure settings were used to scan the phantom both with and without the presence of metal rods. Results The amount of metal artifact was related to the applied CBCT imaging protocol parameters. The size of the artifact was moderate with all imaging settings. The highest applied kilovoltage and exposure level distinctly increased artifact severity. Conclusions The developed method offers a practical and robust way to quantify metal artifacts in CBCT. Changes in imaging parameters may have nonlinear effects on image quality which are not anticipated based on physics.

scholarly journals Evaluation of the quality of CT images acquired with smart metal artifact reduction software

2018 ◽  
Vol 13 (1) ◽  
pp. 155-162 ◽  
Author(s):  
Peng Zhou ◽  
Chunling Zhang ◽  
Zhen Gao ◽  
Wangshu Cai ◽  
Deyue Yan ◽  
...  
Keyword(s):  
Image Quality ◽  
Quantitative Assessment ◽  
Objective Assessment ◽  
Ct Images ◽  
Artifact Reduction ◽  
Metal Artifact ◽  
Metal Artifact Reduction ◽  
Metal Artifacts ◽  
Embolization Coil

AbstractObjectiveTo evaluate the practical effectiveness of smart metal artifact reduction (SMAR) in reducing artifacts caused by metallic implants.MethodsPatients with metal implants underwent computed tomography (CT) examinations on high definition CT scanner, and the data were reconstructed with adaptive statistical iterative reconstruction (ASiR) with value weighted to 40% and smart metal artifact reduction (SMAR) technology. The comparison was assessed by both subjective and objective assessment between the two groups of images. In terms of subjective assessment, three radiologists evaluated image quality and assigned a score for visualization of anatomic structures in the critical areas of interest. Objectively, the absolute CT value of the difference (ΔCT) and artifacts index (AI) were adopted in this study for the quantitative assessment of metal artifacts.ResultsIn subjective image quality assessment, three radiologists scored SMAR images higher than 40% ASiR images (P<0.01) and the result suggested that visualization of critical anatomic structures around the region of the metal object was significantly improved by using SMAR compared with 40% ASiR. The ΔCT and AI for quantitative assessment of metal artifacts showed that SMAR appeared to be superior for reducing metal artifacts (P<0.05) and indicated that this technical approach was more effective in improving the quality of CT images.ConclusionA variety of hardware (dental filling, embolization coil, instrumented spine, hip implant, knee implant) are processed with the SMAR algorithm to demonstrate good recovery of soft tissue around the metal. This artifact reduction allows for the clearer visualization of structures hidden underneath.

scholarly journals Comparison of image quality of head and neck lesions between 3D gradient echo sequences with compressed sensing and the multi-slice spin echo sequence

2020 ◽  
Vol 9 (9) ◽  
pp. 205846012095664
Author(s):  
Yukiko Kami ◽  
Toru Chikui ◽  
Osamu Togao ◽  
Masahiro Ooga ◽  
Kazunori Yoshiura
Keyword(s):  
Image Quality ◽  
Compressed Sensing ◽  
Blood Vessel ◽  
Signal Intensity ◽  
Spin Echo ◽  
Motion Artifacts ◽  
Metal Artifacts ◽  
Lesion Conspicuity ◽  
Pulsation Artifacts

Background Although magnetic resonance imaging (MRI) provides excellent soft-tissue contrast, long acquisition times are major disadvantages. Purpose To evaluate the usefulness of compressed sensing (CS) for contrast-enhanced oral and maxillofacial MRI by comparing the 3D T1 turbo field echo with compressed SENSE (CS-3D-T1TFE) sequence with the multi-slice spin echo (MS-SE) sequence as the reference standard. Material and Methods Thirty patients with orofacial lesions participated in this study. The scan times for MS-SE and CS-3D-T1TFE were 5 min 56 s and 1 min 43 s, respectively. The signal-to-noise ratio (SNR) was calculated for quantitative analysis and seven parameters (degree of lesion conspicuity, motion artifacts, metal artifacts, pulsation artifacts, quality of fat suppression, homogeneity of blood vessel signal intensity, and overall image quality) were evaluated using a 5-point scale (5 = excellent, 1 = unacceptable) by two observers for qualitative analysis. For comparisons between MS-SE and CS-3D-T1TFE, the paired t-test was used. Results The SNR of CS-3D-T1TFE was higher than or equal to that of MS-SE. The CS-3D-T1TFE scores for motion artifacts, pulsation artifacts, and homogeneity of blood vessel signal intensity were higher than the corresponding MS-SE scores in assessments by both observers. The MS-SE scores for fat suppression were higher than or equal to the CS-3D-T1TFE scores. There were no significant differences in lesion conspicuity, metal artifacts, and overall image quality between the two sequences. Conclusion CS-3D-T1TFE imaging, less than 30% of the scan time for MS-SE, showed no image degradation while retaining equal or higher SNR and image quality.

scholarly journals CT Metal Artifact Reduction Method Based on Improved Image Segmentation and Sinogram In-Painting

2012 ◽  
Vol 2012 ◽  
pp. 1-18 ◽  
Author(s):  
Yang Chen ◽  
Yinsheng Li ◽  
Hong Guo ◽  
Yining Hu ◽  
Limin Luo ◽  
...  
Keyword(s):  
Image Quality ◽  
Large Scale ◽  
Projection Data ◽  
Metal Artifacts ◽  
Metal Implants ◽  
Local Means ◽  
Corrected Image ◽  
Streak Artifacts ◽  
New Strategy ◽  
Stage Process

The streak artifacts caused by metal implants degrade the image quality and limit the applications of CT imaging. The standard method used to reduce these metallic artifacts often consists of interpolating the missing projection data but the result is often a loss of image quality with additional artifacts in the whole image. This paper proposes a new strategy based on a three-stage process: (1) the application of a large-scale non local means filter (LS-NLM) to suppress the noise and enhance the original CT image, (2) the segmentation of metal artifacts and metallic objects using a mutual information maximized segmentation algorithm (MIMS), (3) a modified exemplar-based in-painting technique to restore the corrupted projection data in sinogram. The final corrected image is then obtained by merging the segmented metallic object image with the filtered back-projection (FBP) reconstructed image from the in-painted sinogram. Quantitative and qualitative experiments have been conducted on both a simulated phantom and clinical CT images and a comparative study has been led with Bal's algorithm that proposed a similar segmentation-based method.

Observability of Very Thick Specimen by Using Transmission Scanning Electron Microscope

1971 ◽  
Vol 29 ◽  
pp. 26-27
Author(s):  
K. Shibatomi ◽  
T. Yamanoto ◽  
H. Koike
Keyword(s):  
Electron Microscope ◽  
Image Quality ◽  
Scanning Electron Microscope ◽  
Chromatic Aberration ◽  
Image Contrast ◽  
Objective Lens ◽  
Thick Specimen ◽  
Transmission Electron ◽  
Scanning Electron

In the observation of a thick specimen by means of a transmission electron microscope, the intensity of electrons passing through the objective lens aperture is greatly reduced. So that the image is almost invisible. In addition to this fact, it have been reported that a chromatic aberration causes the deterioration of the image contrast rather than that of the resolution. The scanning electron microscope is, however, capable of electrically amplifying the signal of the decreasing intensity, and also free from a chromatic aberration so that the deterioration of the image contrast due to the aberration can be prevented. The electrical improvement of the image quality can be carried out by using the fascionating features of the SEM, that is, the amplification of a weak in-put signal forming the image and the descriminating action of the heigh level signal of the background. This paper reports some of the experimental results about the thickness dependence of the observability and quality of the image in the case of the transmission SEM.

Organ doses and subjective image quality of indirect digital panoramic radiography

2001 ◽  
Vol 30 (6) ◽  
pp. 308-313 ◽  
Author(s):  
F Gijbels ◽  
G Sanderink ◽  
C Bou Serhal ◽  
H Pauwels ◽  
R Jacobs
Keyword(s):  
Image Quality ◽  
Panoramic Radiography ◽  
Organ Doses ◽  
Subjective Image Quality ◽  
Digital Panoramic Radiography
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